These are forms you will be asked to complete before your appointment. You may download them now and fill them out in advance, or wait until before your appointment.


All Patients

Mn Sure Sliding Fee Application

Complete this form to determine your financial eligibility for a service discount



Release of Information

Fill out this form to authorize us to share information with another provider



Medical and Dental

New Patient Registration

All new clients will need to complete this form prior to your appointment



Medical History

All new patients will need to complete this form



Counseling and Support

Intake and Registration (adult)

Intake and Registration (child)

All new clients will need to complete this form prior to your appointment